| NPI | 1942633763 |
|---|---|
| Former Name | JESSICA DAWN WHITLOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.14605) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2025-04-23 |